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Updated: Jun 2, 2026

Quantitative Analysis and Characterization of Atherosclerotic Lesions in the Murine Aortic Sinus
Published on: December 7, 2013
Clinical applicability of coronary atherosclerotic lesion characterization
1Division of Cardiology, Department of Medicine, University Hospital and New Jersey Medical School, Newark, NJ, USA. kalusked@umdnj.edu
Insights
Coronary atherosclerosis (CAS) causes unpredictable cardiac events. This review explores vulnerable plaque (VP) pathology and characterization, aiming to predict and prevent major adverse cardiac events (MACE).
Area of Science:
- Cardiovascular Medicine
- Pathophysiology
- Medical Research
Background:
- Coronary atherosclerosis (CAS) is a diffuse disease linked to major adverse cardiac events (MACE), including myocardial infarction and heart failure.
- The timing and location of MACE in CAS are currently unpredictable.
- Identifying "vulnerable plaque" (VP) is crucial for preventing MACE.
Purpose of the Study:
- To review current knowledge on the pathology and natural history of VP and the vulnerable patient.
- To discuss progress in characterizing atherosclerotic plaque instability and vulnerability.
- To explore future directions in plaque characterization for clinical and research applications.
Main Methods:
- Literature review of emerging data on vulnerable plaque.
- Analysis of progress in characterizing atherosclerotic plaque instability.
- Discussion of future research and clinical applications.
Main Results:
- CAS is a progressive disease associated with unpredictable MACE.
- Characterizing VP is key to understanding CAS pathophysiology.
- Emerging data sheds light on VP pathology and natural history.
Conclusions:
- Further research into plaque characterization is needed.
- Improved understanding of VP can lead to better MACE prediction and prevention.
- Future strategies may enable early detection and treatment of vulnerable plaques.
Abstract:
Native coronary atherosclerosis (CAS) is a diffuse and progressive disease process that is occasionally associated with either clinical atherothrombosis and/or major adverse cardiac events (MACE) including: ST elevation myocardial infarction (STEMI), acute coronary syndromes without ST elevation (ACSWSTE), heart failure, cardiac arrest and sudden cardiac death. Both, the timing and coronary site responsible for the MACE are currently unpredictable. Cardiovascular investigators have engaged in the task of characterizing CAS lesions in order to enhance our knowledge of CAS pathophysiology. It was expected that the knowledge acquired will allow scientists and clinicians to develop effective strategies to detect and treat "vulnerable plaque" (VP) prior to the evolution of MACE. This review discusses the emerging data regarding the pathology and natural history of the VP and vulnerable patient and the progress made in characterizing atherosclerotic plaque instability and vulnerability. Future directions in the field of plaque characterization and their potential clinical and research applications are discussed.
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